eISSN: 1732-2707
ISSN: 1730-1270
HIV & AIDS Review. International Journal of HIV-Related Problems
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
4/2020
vol. 19
 
Share:
Share:
more
 
 
abstract:
Original paper

HIV care cascade in Albania: analysis of newly diagnosed cases in 2016

Arjan Harxhi
1, 2
,
Enxhi Vrapi
2
,
Arsilda Gjataj
2
,
Esmeralda Meta
2
,
Artan Simaku
3
,
Roland Bani
4
,
Deniz Gokengin
5
,
Colette Smith
,
Mike Youle
6

1.
Department and Service of Infectious Diseases, Faculty of Medicine, University Hospital Center, Tirana, Albania
2.
Department of Infectious Diseases, Faculty of Medicine, Tirana, Albania
3.
Institute of Public Health, Albania
4.
Institute of Public Health, National HIV Program, Tirana, Albania
5.
Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ege University Izmir, Turkey
6.
Royal Free Hospital, United Kingdom
HIV AIDS Rev 2020; 19, 4: 267-272
Online publish date: 2020/12/12
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
Despite the fact that there has been a steady rise in new infections rate since the first reported case in 1993, Albania remains a low prevalence country. This was the first cascade study for Albania. The aim was to construct a cascade of care for newly human immunodeficiency virus (HIV)-diagnosed individuals in 2016 in Albania.

Material and methods
This retrospective descriptive study was conducted at the HIV/AIDS Ambulatory Clinic, Infectious Disease Service, University Hospital Centre of Tirana. Medical records of patients diagnosed and enrolled in care in 2016 were retrospectively screened and data on gender, age, HIV clinical stage, CD4+ T cell count, viral load measurement, and treatment history, with antiretroviral treatment (ART) and adherence to treatment were collected.

Results
Out of 127 new HIV cases reported, 100 (78.7%) entered care. The median age was 39 years (range, 20-75 years; male, 82%). Seventy one percent started ART within a median of 56 days (range, 1-317 days) from diagnosis, 34 (47.9%) patients received tenofovir disoproxil fumarate/emtricitabine + efavirenz (EFV), and 27 (38%) zidovudine + lamivudine + EFV. Among those who started ART, 19.7% were late presenters and 54.9% were very late presenters. Viral load after initiation of ART was assessed in 25 cases, with 56% of patients achieving an undetectable HIV-RNA.

Conclusions
A large proportion of people living with HIV were lost at each step of the cascade. Efforts in Albania should be focused on scaling up HIV testing, promoting adherence to ART, improving access to diagnostics, and better ART regimens as well as proper monitoring of therapy.

keywords:

cascade of care, antiretroviral treatment, late presentation

Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe